| Angela Bates, | |
|
11600 Cedarville Rd, Brandywine, MD 20613-7968 | |
| (301) 262-2270 | |
| Not Available |
| Full Name | Angela Bates |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 11600 Cedarville Rd, Brandywine, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457028110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC14278 (Maryland) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Safe Harbor Behavioral Care Llc | 0345514675 | 73 |
| Entity Name | Safe Harbor Behavioral Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316487879 PECOS PAC ID: 0345514675 Enrollment ID: O20170925002242 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Bates, 10808 Phillips Dr, Upper Marlboro, MD 20772-4624 Ph: (301) 704-1445 | Angela Bates, 11600 Cedarville Rd, Brandywine, MD 20613-7968 Ph: (301) 262-2270 |
Catherine C Powell, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7608 Moores Rd, Brandywine, MD 20613 Phone: 301-758-1804 | |
Valerie Silver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 Davenport Dr, Brandywine, MD 20613 Phone: 785-717-9938 | |
Taiwo Akinsanya, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12123 Elmwood Dr, Brandywine, MD 20613 Phone: 629-237-9579 | |
Danielle Lasure-bryant, ED.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 11600 Cedarville Road, Brandywine, MD 20613 Phone: 410-569-9497 Fax: 410-569-0094 | |
Desiree Doyley, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12707 Lusbys Ln, Brandywine, MD 20613 Phone: 845-863-5932 | |
Janese Parker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15506 Chaddsford Lake Dr, Brandywine, MD 20613 Phone: 240-927-9347 |